CAROL LYNN BLACK (APRN-CNP) – Family Nurse Practitioner, NPI 1013427129
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for CAROL LYNN BLACK (APRN-CNP)
North Arno Street, Coalgate, Coal County, Oklahoma, 74538, United States
COALGATE, OK 745382405
Phone: (918) 424-4822
Type: Mailing
610, East 24th Street, Tishomingo, Johnston County, Oklahoma, 73460, United States
TISHOMINGO, OK 734603245
Phone: (580) 371-2343
Type: Location
610 E 24TH ST
TISHOMINGO, OK 734603245
Phone: (580) 371-2343
Fax: (580) 371-3614
Type: Mailing
107 E POST AVE
COALGATE, OK 745383004
Phone: (580) 927-2828
Fax: (580) 927-9876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Pharmacosmos Therapeutics Inc. ($112).
Total Amount
$197
General + Research + Ownership
Payments
5
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171122000573 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 67 | 29 | $0 |
| 81003 | Automated urinalysis test | 56 | 41 | $0 |
| 71046 | X-ray of chest, 2 views | 26 | 18 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 21 | 18 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 15 | 12 | $0 |
Insurance plans in this area (ZIP 74538)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | TX | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| Mental Health Counselor | OK |
Reviews
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